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Surviving the Emotional Consequences of Cancer
By Vic T.
Having survived three separate bouts with cancer, I have found the Intensive Journal
method to be an indispensable tool during times of hardship. During the
thirty years that I have been using the method, it has helped me deal
more effectively with the seriousness of a life-threatening illness and
any emerging difficult issues and emotions.
My first diagnosis of Melanoma came about in 1984, eleven years after I began using the Intensive Journal
process. The doctor wasted no time in painting a bleak picture of my
serious condition. As it turned out, my condition was worse than it
should have been, as I had taken too long to seek treatment. I
consequently began experiencing guilt and later fear, and would wake up
at nights from a disturbing dream about death. Yet, as I was able to
record the content of the dream and the physical symptoms related to my
fear and anxiety from the dream, I could restore a certain calm and
shift the focus away from the scary aspects. I also recalled Dr. Ira
Progoff saying that often enough, dreams about death are not about
physical death but about the end of a phase or period in our lives.
Working with the method helped me realize that I was in fact moving
into a different phase of my life by starting a new job at a new
counseling center.
I found several sections of the Intensive Journal
workbook to be helpful in dealing with my new condition. I recalled Dr.
Progoff saying that while you could record basically the same thing in
different sections, the material would unfold quite uniquely because of
the distinctive internal dynamics of each section. At first, I used
mainly the Dialogue with the Body section, where I recorded the
physical facts of my cancer, feedback from doctors on the various
medical procedures, and dietary and routine changes. As time went on
and the seriousness of the situation emerged, I also began recording in
the Dialogue with Events, Situations & Circumstances section,
dealing with the "Situation of my life" (which became an open-ended
thematic line in my workbook entries) and the ongoing reality of living
with cancer, the uncertainties of that condition, and the influence of
that condition on myself and those close to me, especially my wife.
The method also helped me to face the issue of death, as I
could record into my workbook parts of books dealing with death and
connect them with other entries in the feedback process. I was also
able to see connections between different aspects of my life. For
example, I realized that it was through the positive intervention of
good friends that I was hired to work with the Pastoral Counseling
Agency. I could therefore gain a broader perspective, keeping my mind
from dwelling solely on the cancer and its deleterious effects.
My surgery went well, as far as could be determined at that
time. However, five years later, I discovered a lump in my right
armpit, and it, too, was diagnosed as malignant Melanoma. Again, the Intensive Journal
method proved useful during the days that followed, in dealing with the
numerous medical tests to determine if the cancer had spread beyond the
lymph nodes.
This time, not only did I have to deal with the physical aspects of my
situation, but there was also the weight of why the cancer had
returned, and what it meant in terms of future prognosis. I was again
looking at the question of potential death in the Peaks, Depths, and
Explorations section, which covers issues of ultimate concern. At the
same time, I was helped to deal with what was happening in a more
manageable form and to look at my situation in a more active way,
instead of passively accepting or denying it.
The Intensive Journal method also helped me to
consider options and listen to internal responses, and even to help me
accept the assistance offered by others. For example, I remember a very
touching experience of a group of good friends of different
denominations, who came to our house to gather in prayer for the
outcome of my second surgery the next day. I recall feeling a sense of
gratitude for their fidelity and concern, and feeling the healing power
of touch as they laid hands on my head or shoulders. I was able to
incorporate this gratitude and other feelings about this profound
experience into the Connections section, as both a physical and
spiritual happening. The method proved to be a helpful way for me to
prepare for entering surgery, and I could also preserve this moment as
something to be treasured.
Recovery from my second surgery was difficult; all the lymph
nodes under my right arm were removed and the physical therapy to
regain use of the arm and the chemotherapy proved to be new adversities
to overcome. Not only did the chemotherapy leave me extremely sick and
exhausted (it had to be discontinued because it was damaging my liver),
but other patients around me in the same condition who had received the
same treatment passed away. The Intensive Journal method was invaluable in preventing me from becoming overwhelmed by it all.
By re-reading my entries in the workbook, I could look back and see the
strengths I didn't know I had that helped me to overcome difficulties
in the past. There were times that I wasn't sure I'd make it, but I
did. Reading back entries from the Dialogue with Persons section made
me aware of the vital role played by my wife as friend and nurse in the
midst of many difficult episodes. As I reflected on my writing, I was
reminded of her constant support during the exhausting aftereffects of
the chemotherapy and the never-ending healing process. She never
complained, always acted appropriately, and was consistently present in
whatever way was called for at the time. I was also made aware of
resources such as friends who appeared, lessons I learned working at
the counseling center, strength from outside reading, and times of
prayer. Thankfully, reading my entries did not allow me to forget these
important factors in my recovery. Just as importantly, the method also
helped me access my thoughts and feelings and get them onto paper,
shedding light on changes and judgments that were called for in my own
life. It helped me see what was really important in my life--it
prompted me to change my work schedule and take a long-postponed
vacation.
I was then medically tracked for nine years by my hospital and
clinic, and was eventually warned about evidence of the beginnings of
Prostate Cancer in 1998. Again the Intensive Journal
process kept me aware of medical and emotional behavior patterns, and I
now see how, in the words of Dr. Progoff, it helps in "reminding us of
all that we have survived, which in turn gives us the strength to cope
with what is most recently popping up in our lives." Fortunately, a
really fine urologist eventually operated and removed the prostate that
same year. Thanks in large part to the Intensive Journal method, I now have the ability to listen with a different kind of ear to those confronted with life-threatening situations.
As the years go on, I see more and more the quality and
comprehensiveness of the method, the depth and grasp Dr. Progoff had of
the human condition, and the impressive way he put together a structure
that simultaneously preserves necessary internal discipline and
enhances the freedoms so pivotal to human health at all levels. As the
account above indicates, the Intensive Journal
method has been a great personal help. Moreover, I've been fortunate to
witness over several decades the benefits the method brings to others.
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"Intensive Journal" is a registered trademark of Ira Progoff and
licensed to Dialogue House.© Copyright 2003. Reprinted with permission
of the author.
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